Patient Access Specialist - Clinic

Froedtert South, Inc.; Pleasant Prairie (WI); On-site; USD 36,000 - 48,000; Full time

Job summary

Froedtert South, Inc. in Pleasant Prairie, Wisconsin, is seeking a Patient Access Specialist for the Clinic to handle appointment scheduling, patient check-in/out, and registration. The role supports coverage management, patient portal sign-up, and routing of messages to the clinical team.

Strong computer skills and healthcare terminology knowledge are essential. Ideal candidates have high school education and 6 months to 1 year of related experience, with familiarity in ICD-10, CPT, HCPCS and

Qualifications

• High school diploma or GED required.
• 6 months to 1 year of experience in healthcare or receptionist setting.
• Knowledge of medical terminology (ICD-10, CPT, HCPCS).
• Experience with patient registration, insurance verification and health plans.

Responsibilities

• Schedules, reschedules and cancels patient appointments.
• Executes pre-arrival registration following standards.
• Identifies and enters patient insurance coverage.
• Collects copays, balances, and payments for services.
• Manages department workload queues and messages for care team.
• Performs prior-authorizations and care management referrals.
• Uses healthcare software per established standards.

Skills

Customer service

Communication

Attention to detail

Medical terminology

Insurance verification

Patient registration

Education

High School or GED

Tools

Healthcare software

Microsoft Office

Electronic health records

Job description

Patient Access Specialist - Clinic

Froedtert South, Inc. Pleasant Prairie, Wisconsin, United States

About this position

Patient Access Specialist - Clinic

• POSITION PURPOSE A Patient Access Specialist serves as the first point of contact for Froedtert South. The position is accountable for appointment scheduling, patient check-in and check-out, registration, coverage management, patient portal sign-up, patient message collection and routing, departmental support, prior authorization and WQ management.
• MINIMUM EDUCATION REQUIRED High School or GED
• MINIMUM EXPERIENCE REQUIRED 6 months – 1 year
• LICENSES / CERTIFICATIONS REQUIRED Formal education beyond high school in Business or Healthcare or equivalent experience preferred.
• KNOWLEDGE, SKILLS & ABILITIES REQUIRED Experience in a health care business or receptionist environment. Excellent computer and customer services skills. Knowledge of medical terminology; ICD-10, CPT and HCPCS codes and use. Familiarity with internet, email and Microsoft office. Effective written and verbal communication skills required. Demonstrates ability to efficiently organize work, while maintaining a high level of accuracy and productivity Experience in patient registration, insurance verification and health insurance plans.
• PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES Schedules, reschedules and cancels patient appointments Executes pre-arrival registration by adhering to registration standards Accurately identifies and enters patient’s insurance coverage Performs check-in/check-out functions for patient appointments Collects all applicable copays, patient balances, pre-payments and self-pay payments for services Manages and resolves assigned departmental WQs Takes messages (telephone and in-person) and uses the healthcare software in-basket to route and facilitate communication between patients and clinical care team Performs manage care referrals and prior-authorizations functions Proficient use of healthcare software utilizing established standards

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